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Organization

CONNECTICUT DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT JACOBS D.D.S., P.C. (GENERAL DENTIST)
(203) 746-2459
Entity
Organization

Contact information

Practice address
100 STATE ROUTE 37, NEW FAIRFIELD, CT 06812-4024
(203) 746-2459
(203) 746-2450
Mailing address
100 STATE ROUTE 37, NEW FAIRFIELD, CT 06812-4024
(203) 746-2459
(203) 746-2450

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005149
CT

Other

Enumeration date
12/16/2015
Last updated
12/16/2015
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